Case and Plan:
Presentation: 78 yrs old presents with progressive SOB on exertion and leg edema
PMH: s/p AVR (23mm Magna 3000) and TVr (TV ring 28mm) 4/2007, S/P ViV TAVR (23 Sapien-3) 3/2016, CAD S/P LAD PCI (3/31/2026), HTn, Hyperlipidemia Recent TEE: Severe bioprosthetic AS (PG/MG/PV/AVA: 36/22/23/0.8) with restricted leaflet motion, no PVL, normal surgical MVr, mild PHTn, LVEF 43% Medications: Clopidogrel, Apixaban, Rosuvastatin, Metoprolol XL, Sacubitril-Valsartan, Spironolactone
Labs: Hgb 11.9, PLT 111K, Cr 0.72, INR 1.4
Height: 157cm Weight: 115 kg BMI: 46.6 kg/m’ BSA: 2.23m2
EKG: Afib, RBBB
Cath: 1 V CAD post PCI to mLAD (Synergy XD 4/16 DES) on March 31st, 2026
